US4705038A - Surgical system for powered instruments - Google Patents

Surgical system for powered instruments Download PDF

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Publication number
US4705038A
US4705038A US06/693,779 US69377985A US4705038A US 4705038 A US4705038 A US 4705038A US 69377985 A US69377985 A US 69377985A US 4705038 A US4705038 A US 4705038A
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US
United States
Prior art keywords
handpiece
surgical
motor
surgical device
limit
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
US06/693,779
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English (en)
Inventor
Douglas D. Sjostrom
Edvin Zemgals
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Smith and Nephew Inc
Original Assignee
Dyonics Inc
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Application filed by Dyonics Inc filed Critical Dyonics Inc
Priority to US06/693,779 priority Critical patent/US4705038A/en
Assigned to DYONICS, INC. reassignment DYONICS, INC. ASSIGNMENT OF ASSIGNORS INTEREST. Assignors: SJOSTROM, DOUGLAS D., ZEMGALS, EDVIN
Priority to EP86100652A priority patent/EP0189807B1/fr
Priority to DE3689730T priority patent/DE3689730C5/de
Priority to CA000500052A priority patent/CA1268091A/fr
Priority to JP61012954A priority patent/JPH0775611B2/ja
Publication of US4705038A publication Critical patent/US4705038A/en
Application granted granted Critical
Assigned to SMITH & NEPHEW DYONICS, INC. reassignment SMITH & NEPHEW DYONICS, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: DYONICS, INC.
Priority to US07/714,334 priority patent/USRE34556E/en
Assigned to SMITH & NEPHEW ENDOSCOPY, INC. reassignment SMITH & NEPHEW ENDOSCOPY, INC. CHANGE OF NAME (SEE DOCUMENT FOR DETAILS). Assignors: SMITH & NEPHEW DYONICS, INC.
Assigned to SMITH & NEPHEW, INC. reassignment SMITH & NEPHEW, INC. MERGER (SEE DOCUMENT FOR DETAILS). Assignors: SMITH & NEPHEW ENDOSCOPY, INC.
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B23—MACHINE TOOLS; METAL-WORKING NOT OTHERWISE PROVIDED FOR
    • B23Q—DETAILS, COMPONENTS, OR ACCESSORIES FOR MACHINE TOOLS, e.g. ARRANGEMENTS FOR COPYING OR CONTROLLING; MACHINE TOOLS IN GENERAL CHARACTERISED BY THE CONSTRUCTION OF PARTICULAR DETAILS OR COMPONENTS; COMBINATIONS OR ASSOCIATIONS OF METAL-WORKING MACHINES, NOT DIRECTED TO A PARTICULAR RESULT
    • B23Q5/00—Driving or feeding mechanisms; Control arrangements therefor
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/90—Identification means for patients or instruments, e.g. tags
    • A61B90/98—Identification means for patients or instruments, e.g. tags using electromagnetic means, e.g. transponders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B2017/00477—Coupling
    • A61B2017/00482—Coupling with a code
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/031—Automatic limiting or abutting means, e.g. for safety torque limiting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety

Definitions

  • This invention relates to systems for operating powered surgical instruments.
  • Operating tips for cutting and abrading tissue come in widely different sizes and configurations, each designed for performance of a particular surgical procedure.
  • the optimum operational limits of the different surgical devices are different, for instance as to the speed and torque at which they can safely operate.
  • a surgical procedure on a patient requires use of surgical devices of differing characteristics, the surgeon must either have separate motorized units for each device, or a central unit must be adjusted with each device change, a time-consuming operation, and one that entails some risk of error, with possible damage to the instrument or injury to the patient.
  • Objectives of this invention are to provide a surgical system suitable for use with surgical devices having different operational limits, which enables greater safety, speed and convenience with a single drive unit.
  • the system includes an arthroscopic handpiece constructed as above and a plurality of surgical devices adapted to recieve different removable rotary tips that have different operational limits of rotation, each of the plurality of the devices having a vacuum passage connectible at one end to a vacuum passage of the respective rotary tip and, adjacent the other end, to a vacuum passage associated with the handpiece, whereby tissue severed by the rotary tip can be removed from the surgical site, the indicators of the surgical devices indicating to the sensor means the rotational limits of the tips which the devices are adapted to receive, preferably a vacuum passage is defined through the handpiece from adjacent the surgical device to adjacent the proximal end of the handpiece, and the handpiece includes means for connecting the vacuum passage to an external source of suction, whereby tissue severed by the rotary tip can be removed from the surgical site through the handpiece; the sensor is adapted to limit the torque applied by the motor and to limit the range of speed of the motor; the motor is electrical and has an associated power source, and the sensor means is responsive to the indicator of
  • FIG. 1 is a perspective of the system according to the invention
  • FIG. 2 is a plan view, partially in section, of the motorized handpiece of the system of the invention, while FIG. 2a is an end section view of the handpiece at line 2a--2a of FIG. 2;
  • FIG. 3 is a side view, partially in section, of the distal portion of the motorized handpiece of the system
  • FIGS. 4 and 4a are side and end views, respectively, of one surgical device adapted for use in the system of the invention.
  • FIG. 5 is a side view, partially in section, and FIG. 5a is an end view of another surgical device of the invention.
  • FIG. 6 is a side section view and FIG. 6a is an end view of still another surgical device of the invention.
  • FIGS. 7, 7a, 7b, 7c and 7d are schemmatic diagrams of the circuitry of the system according to the invention.
  • the arthroscopic surgical system of the invention consists of handpiece 10, surgical devices 12, 14, 16, each intended for use within specific preselected operational limits, controller/power unit 18 and foot control 20. Also included are removable rotary tips selectively adapted for use with the surgical devices, as discussed more fully below.
  • Handpiece 10 includes motor 21, and has a distal recess 22 into which drive shaft 23 extends.
  • the recess is sized and configured to securely receive a proximal portion of the associated surgical devices.
  • the Shaver/Cutter device 12 has an axial bore 13 of diameter D 1 , sized and adapted to receive rotary tips having a corresponding outer diameter for operation at rotational speeds in range R 1 , e.g. from about 100 rpm up to about 3 revolutions per second or 200 rpm, at maximum torque of T 1 , e.g. 28 inch ounces.
  • Rotary tips useful with this surgical device include the Shaver, Cutter and Trimmer Blade Assemblies, manufactured by Dyonics, Inc. of Andover, Mass. These are indicated by reference numerals 25, 26, 27 in FIG. 1.
  • Arthroplasty/Synovial Resector device 14 has a larger axial bore 15 of diameter D 2 , sized and adapted to receive rotary tips of corresponding outer diameter for operation at higher rotational speeds in range R 2 , e.g. 400 to 1400 rpm, and at maximum torque of T 2 , e.g. about 28 inch ounces.
  • Rotary tips useful with this surgical device include the Abrader and Full Radius Synovectomy Blade Assemblies, also manufactured by Dyonics, Inc., and are indicated by reference numerals 28 and 29 in FIG. 1.
  • Small Joint device 16 has an axial bore 17 of diameter D 3 , sized and adapted to receive rotary tips of configuration similar to those mentioned above, but of smaller size for use within joints offering limited working volume, e.g., the ankle, elbow and wrist joints. Examples of suitable rotary tips are indicated by reference numerals 30 and 31. Device 16 is suited for operation of rotary tips in rotational speed range R 3 , e.g. about 300 to 1500 rpm, at maximum torque T 3 , e.g. about 14 inch ounces.
  • Each rotary tip defines a vacuum passage extending from the distal end of the tip, adjacent the cutting edges, through the rotary tip, to discharge into a vacuum passage defined by the associated surgical device, which serves as a drain case.
  • the vacuum passage of the drain case in turn is connected via outlet 39 in its side wall to an aligned port 38 in the side wall defining the recess into drain tube 40 provided within the handpiece.
  • sensors consisting of end operated mini-reed switches 34, 34'.
  • sensors consisting of end operated mini-reed switches 34, 34'.
  • magnets 36, 36' adapted to actuate the reed switches.
  • the magnetc indicators in the surgical devices are arranged in predetermined respective patterns, whereby the acuation of the switches opposite the magnet positions identifies to the rest of the system, the device that is to be used.
  • the controller/power unit then automatically establishes a limit on the power to be provided to the handpiece to limit the speed range and the torque to within the preselected limits for optimum performance of the rotary tip being used. This reduces the chance of damage to the surgical device or tip, and reduces the risk of injury to the patient.
  • the motor compartment of handpiece 10 is sealed, with the reed switches disposed wtihin the compartment, to permit the handpiece to be sterilized by autoclaving.
  • the surgical devices and rotary tips can also be autoclaved.
  • selector switch 58 at the left of the controller/power unit front panel to its center position, labeled "UNIVERSAL DRIVE". (If another motor drive unit is to be used, turn the selector switch to the appropriate position. Power is supplied only at the selected receptacle.)
  • Select the desired surgical device e.g. Shaver/Cutter device 12
  • bring the handpiece 10 and device 12 together orienting the handpiece so its key slot 60 can be seen.
  • Orient the device 12 so its key 62 can be seen.
  • Each surgical device has a spring-loaded ring 64 at its distal end. This is the release ring that permits rotary tip insertion and removal.
  • the reference numerals given refer to device 12. Common structural features present in devices 14 and 16 are indicated with the same reference numerals, marked prime and double prime, respectively.
  • FIGS. 7 through 7d The following is a brief description of the system circuitry, shown in FIGS. 7 through 7d.
  • Triple pole rotary selector switch S1 on the front panel allows power to be delivered to the handpiece power outputs. This switch also controls a logic (ground) signal on one of three lines to tell the rest of the circuit which motor drive unit has been selected.
  • Two magnetic reed switches (34, 34') in the handpiece 10 are controlled by the attached device. Their configuration provides two logical bits to cover the four possibilities: no device, Shaver/Cutter device 12, Arthroplasty/Synovial Resector device 14, or Small Joint device 16.
  • Assembly of device 12 with the handpiece causes magnetic 36 to actuate opposed reed switch 34, switch 34' is not activated.
  • assembly of device 14, having magnets 36, 36', with the handpiece actuates both switches.
  • Assembly of device 16 with the handpiece causes only switch 36' to actuate. (If no device is in position, neither switch is actuated.) Thus the system is able to identify the device which has been assembled with the handpiece.
  • This information and the position of motor drive selector switch 58 are input to several decoding circuit selectors. In each case, current appears on only one output line (or none if handpiece is attached). The circuitry on that output line is used to control power delivered to the motor drive. This scheme allows independent adjustment of the voltage/current profile for each combination of motor drive and device. In addition, another decoding circuit selector delivers voltage to one of the LEDs (D3, D4, or D5) on the front panel to show which device has been attached.
  • Speed Control For a given handpiece, device and torque demand, speed is nearly proportional to supplied voltage. Current varies little if the voltage is increased to speed up the rotation at constant torque, because the increase in speed causes an increase in the back emf of the motor.
  • the driving voltage is supplied through power transistor T2, whose base bias is controlled by op amp A1. A portion of the driving voltage is fed back to the reference input of A1. Motor drive speed is controlled by adjusting speed control potentiometer P3 on the front panel to vary the signal input to A1.
  • Current sensing feedback resistor R2 develops a voltage proportional to the current through the motor. If increased resistance to rotation of the blade causes the motor to slow down, the back emf is reduced, more current flows, and the voltage across R2 increases.
  • This voltage increases the signal input to A1, and additional voltage is supplied to the motor to restore its speed to the original value.
  • An increase in speed caused by decreased resistance to rotation has the opposite effect.
  • the circuit thus tends to keep the rotational speed constant as long as safe torque limits (and maximum available battery voltage) are not exceded.
  • Speed range setting The available range is determined by the voltages at the fixed terminals of potentiometer P3, while the wiper directs the control voltage to the regulator through op amps A3 and A4, which are used for impedance matching.
  • the voltage at the high end of P3 is set by one of five voltage divider networks attached to decoding circuit selector AS1.
  • the inputs to AS1 are the logic signals set by rotary selector switch S2 and by the reed switches in the motor drive unit, which indicate which device is attached. Based on these inputs, AS2 selects the voltage divider network that has been preset for the motor drive and device in use. Trim pots allow each network to be adjusted appropriately.
  • the voltage at the low end of P3 is similarly set by voltage divider networks associated with AS2. This arrangement allows the speed range to be independently set for each handpiece/device combination.
  • Torque limit setting For a given handpiece and device, current is nearly proportional to the torque produced. The controller/power unit limits the current so that applied torque will not excede a safe value for the device in use. Current is sensed by observing the voltage drop across resistor R2. Decoding circuit selector AS3 allows this potential to be scaled by an individually adjusted voltage divider network for each handpiece/device configuration. (This allows the torque limit to be tailored to the configuration in use, as in the case of the speed range setting described above.) The resulting voltage is the signal input to torque limiting op amp A2. When this input reaches the fixed reference level, A2 operates at very high gain to place a large signal on the reference input of A1, preventing further increase in its output. The circuit thus prevents an increase in driving voltage after the limiting current and torque have been reached.
  • Decoding circuit selector AS4 allows front panel indication of which device is in use. Its function is similar to that of AS1, except that AS4 has only two inputs and therefore depends only on the device. If a different handpiece is selected, AS4 is inhibited. If the handpiece 10 is selected, the outputs from AS4 allow one of the LEDs D3-D5 (70, FIG. 1) on the panel to light to signal which device is attached. If no device is attached, no LED lights and no power is delivered to the handpiece.
  • relay X1 When forward rotation of the motor is selected at the footswitch, relay X1 is activated, and power is supplied in the forward direction to the motor drive selected by switch S1. When reverse is selected at the footswitch, relay X2 is activated and current to the motor drive flows in the opposite direction.
  • the surgical device and rotary tip may be provided as an integral unit.
  • the indicators may identify operational limits in addition to or those other than power.
  • the controller/power unit may be integral with the handpiece.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Veterinary Medicine (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Mechanical Engineering (AREA)
  • Physics & Mathematics (AREA)
  • Electromagnetism (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Dental Tools And Instruments Or Auxiliary Dental Instruments (AREA)
US06/693,779 1985-01-23 1985-01-23 Surgical system for powered instruments Ceased US4705038A (en)

Priority Applications (6)

Application Number Priority Date Filing Date Title
US06/693,779 US4705038A (en) 1985-01-23 1985-01-23 Surgical system for powered instruments
DE3689730T DE3689730C5 (de) 1985-01-23 1986-01-20 Chirurgisches System für angetriebene Werkzeuge.
EP86100652A EP0189807B1 (fr) 1985-01-23 1986-01-20 Système chirurgical pour instruments actionnés
CA000500052A CA1268091A (fr) 1985-01-23 1986-01-22 Instrument chirurgical motorise a tetes interchangeables
JP61012954A JPH0775611B2 (ja) 1985-01-23 1986-01-23 モータ付外科装置
US07/714,334 USRE34556E (en) 1985-01-23 1991-06-12 Surgical system for powered instruments

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US06/693,779 US4705038A (en) 1985-01-23 1985-01-23 Surgical system for powered instruments

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US07/714,334 Reissue USRE34556E (en) 1985-01-23 1991-06-12 Surgical system for powered instruments

Publications (1)

Publication Number Publication Date
US4705038A true US4705038A (en) 1987-11-10

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ID=24786077

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Application Number Title Priority Date Filing Date
US06/693,779 Ceased US4705038A (en) 1985-01-23 1985-01-23 Surgical system for powered instruments

Country Status (5)

Country Link
US (1) US4705038A (fr)
EP (1) EP0189807B1 (fr)
JP (1) JPH0775611B2 (fr)
CA (1) CA1268091A (fr)
DE (1) DE3689730C5 (fr)

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EP0189807A2 (fr) 1986-08-06
JPS61196953A (ja) 1986-09-01
DE3689730D1 (de) 1994-04-28
EP0189807B1 (fr) 1994-03-23
DE3689730C5 (de) 2008-07-24
DE3689730T2 (de) 1994-06-30
CA1268091A (fr) 1990-04-24
EP0189807A3 (en) 1988-09-14
JPH0775611B2 (ja) 1995-08-16

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